Provider Demographics
NPI:1740834878
Name:REFINING WELLNESS, LLC
Entity type:Organization
Organization Name:REFINING WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROWENHORST
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:712-600-4645
Mailing Address - Street 1:4123 JAY AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51041-7587
Mailing Address - Country:US
Mailing Address - Phone:712-737-7132
Mailing Address - Fax:
Practice Address - Street 1:127 ALBANY AVE SE
Practice Address - Street 2:
Practice Address - City:ORANGE CITY
Practice Address - State:IA
Practice Address - Zip Code:51041-1729
Practice Address - Country:US
Practice Address - Phone:712-600-4645
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-26
Last Update Date:2019-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty